NPI | 1396400263 |
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Doing Business As | FT. LAUDERDALE COMPREHENSIVE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-716-9335 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2021-11-04 |
Last Update Date | 2024-12-03 |