| NPI | 1588208128 |
|---|---|
| Doing Business As | TREATMENT CENTER OF WAYCROSS |
| 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 |