NPI | 1700092236 |
---|---|
Doing Business As | ST. GEORGE METRO TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | RODNEY WILLIAMS CFO 407-351-7080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: UT 12459) |
3336C0002X Pharmacy Clinic Pharmacy (Licence: UT 5682345-1704) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2019-09-25 |