| NPI | 1700093853 |
|---|---|
| Doing Business As | MONTGOMERY METRO TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA JACKSON CFO 407-351-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: AL 111131) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-11-04 |