NPI | 1336404417 |
---|---|
Former Legal Business Name | OASIS CLINICAL |
Entity Type | Organization |
Authorized Contact | TERRYANN MAREE DECHERT Admin 201-600-1812 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2012-07-05 |
Last Update Date | 2024-08-13 |