| NPI | 1891492914 |
|---|---|
| Doing Business As | PLATINUM RECOVERY LLC |
| Entity Type | Organization |
| Authorized Contact | CAROLYN POWELL Program Director 229-944-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-02-09 |