| NPI | 1770985004 |
|---|---|
| Doing Business As | MELROSE COMMUNITY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRAIG SMITH Medical Director 888-870-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA G61164) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CA 61164) |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CA G61164) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |