NPI | 1578107124 |
---|---|
Doing Business As | TREATMENT CENTER OF BRUNSWICK |
Entity Type | Organization |
Authorized Contact | ALAN COOPER FOLSOM Member 229-242-0953 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2019-11-06 |
Last Update Date | 2019-11-06 |