NPI | 1770124380 |
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Doing Business As | CLARKSVILLE COMPREHENSIVE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2019-10-04 |
Last Update Date | 2023-08-10 |