NPI | 1952614174 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF HIXON BEARD Contract Physician 251-621-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: AL 2819) |
Enumeration Date | 2010-07-16 |
Last Update Date | 2010-07-16 |