| NPI | 1710512199 |
|---|---|
| Doing Business As | NEW SEASON ALBUQUERQUE NORTH TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA JACKSON CFO 407-351-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2022-11-17 |