| NPI | 1386753655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SANDERSON President Ctc Division 855-259-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: CA 37-09) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-03-12 |