| 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 (Licence: MO 1692002272) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MO 1338) |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2019-08-08 |