NPI | 1649612219 |
---|---|
Doing Business As | ST JOSEPH METRO TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | RODNEY WILLIAMS Vice President 407-581-5157 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MO 1692002272) |
Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
3336C0002X Pharmacy Clinic Pharmacy (Licence: MO 1338) | |
Enumeration Date | 2013-07-24 |
Last Update Date | 2019-08-08 |