| NPI | 1912155516 |
|---|---|
| Doing Business As | HABIT OPCO-BRATTLEBORO |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2023-08-11 |