| NPI | 1477136695 |
|---|---|
| Doing Business As | NEW SEASON 490 - 492 TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA JACKSON CFO 407-351-7080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-11-04 |