| NPI | 1205582822 |
|---|---|
| Doing Business As | MAT TEXAS |
| Entity Type | Organization |
| Authorized Contact | JACOB GUERRERO Executive Director 505-730-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |