| NPI | 1811394075 |
|---|---|
| Doing Business As | OUTPATIENT ADDICTIONS SERVICES |
| Entity Type | Organization |
| Authorized Contact | JAMEELAH JOHNSON Manager 270-773-1211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2024-08-13 |