| NPI | 1417611674 |
|---|---|
| Doing Business As | DOVER COMPREHENSIVE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 156-716-9335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2024-10-03 |