| NPI | 1679830491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER W. GURESKY President/Medical Director 870-336-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2023-12-01 |