NPI | 1306158720 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY SEARING POND Contract Physician 251-621-7442 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: AL 6782) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2010-07-14 |