NPI | 1467838706 |
---|---|
Doing Business As | NEW SEASON TREATMENT CENTER 4 |
Entity Type | Organization |
Authorized Contact | MARIA JACKSON CFO 407-351-7080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X |
261QM2800X Clinic/Center, Methadone Clinic | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2015-08-10 |
Last Update Date | 2023-05-16 |