| NPI | 1588870877 |
|---|---|
| Doing Business As | FAYETTEVILLE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | RODNEY WILLIAMS Vice President 407-581-5157 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X (Licence: NC MHL-026-760) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NC NC-AM 0000 2055) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-09-23 |