| NPI | 1861902926 |
|---|---|
| Doing Business As | HABIT OPCO - BRATTLEBORO |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 156-716-9335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2024-02-29 |