NPI | 1528368081 |
---|---|
Doing Business As | MEDPRO TREATMENT CENTERS |
Entity Type | Organization |
Authorized Contact | PHILLIP D YOUNG CEO 979-599-9450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TX 1000020) |
Enumeration Date | 2010-10-29 |
Last Update Date | 2010-10-29 |