NPI | 1902012123 |
---|---|
Doing Business As | MANCHESTER METRO TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | RODNEY WILLIAMS CFO 407-351-7080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X (Licence: NH 200607) |
3336C0002X Pharmacy, Clinic Pharmacy (Licence: NH 6006) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2019-08-15 |