NPI | 1568522928 |
---|---|
Doing Business As | COLTON CLINICAL SERVICES |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 36-05) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 360066AP) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2024-10-24 |