NPI | 1801947965 |
---|---|
Doing Business As | MADISON EAST 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 (Licence: WI #1549) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WI #1549) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2024-10-25 |