| NPI | 1861608382 |
|---|---|
| Doing Business As | NEW SEASON 270-271 TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA JACKSON CFO 407-351-7080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: TX SNP0801511) |
| 3336C0002X Pharmacy Clinic Pharmacy (Licence: TX MO128273) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-11-04 |