NPI | 1669028189 |
---|---|
Doing Business As | NEW SEASON CLEVELAND WEST |
Entity Type | Organization |
Authorized Contact | RODNEY WILLIAMS CFO 407-351-7080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2019-08-12 |
Last Update Date | 2019-08-12 |