NPI | 1568168342 |
---|---|
Doing Business As | ELITE METHADONE |
Entity Type | Organization |
Authorized Contact | JAIME SANCHEZ Managing Member 575-993-9890 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2023-02-03 |
Last Update Date | 2023-02-03 |