| NPI | 1508072703 |
|---|---|
| Doing Business As | LOGAN METRO TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | RODNEY WILLIAMS CFO 407-351-7080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 11675) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: UT 5888583-1704) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-09-25 |