| NPI | 1346467727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET RAMOS Executive Director 979-373-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NJ 2000004) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |