NPI | 1619184769 |
---|---|
Doing Business As | NEW SEASON TREATMENT CENTER 10 |
Entity Type | Organization |
Authorized Contact | MARIA JACKSON CFO 407-351-7080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X (Licence: FL 0748AD121901) |
3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL PH 15593) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2022-11-04 |