| NPI | 1295037885 |
|---|---|
| Doing Business As | ADD-LIFE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | VINCENTINE S ADELMAN Program Sponsor 903-596-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TX 0000109) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone (Licence: TX 0000109) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |