| NPI | 1295336386 |
|---|---|
| Doing Business As | CIHA MAT CLINIC |
| Entity Type | Organization |
| Authorized Contact | CASEY MITCHELL COOPER CEO 828-497-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |