| NPI | 1467204545 |
|---|---|
| Doing Business As | GREEN BAY EAST 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 |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |