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 |