| NPI | 1285400499 |
|---|---|
| Doing Business As | ORCA |
| Entity Type | Organization |
| Authorized Contact | TOYIA D. LANDRENEAUX Program Sponsor 903-687-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |