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 |