NPI | 1730652751 |
---|---|
Doing Business As | CRESCENT CLINIC |
Entity Type | Organization |
Authorized Contact | CORINA A RIOJAS Program Director 972-408-3134 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2019-01-03 |
Last Update Date | 2019-06-11 |