| NPI | 1447889621 |
|---|---|
| Doing Business As | MASAC AT PLYMOUTH COMPREHENSIVE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM SANDERSON President, Ctc Division 855-259-2288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-13 |