| NPI | 1396067716 |
|---|---|
| Other Name | METHADONE |
| Entity Type | Organization |
| Authorized Contact | IVONNE TAPIA CEO 915-782-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 402A) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TX 402A) |
| 251S00000X Community/Behavioral Health (Licence: TX 402I) | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2020-12-15 |