Individual provider · Type 1 NPI
Amanda Jeanne Davidson
Methadone Clinic · Gloucester, MA
NPI number
1013479708
Active
Practice location
23 Duncan St
Gloucester, MA 01930-6001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
About NPI 1013479708
Amanda Jeanne Davidson's National Provider Identifier is 1013479708, issued on Apr 2, 2019. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Gloucester, MA. The record was last updated on Apr 2, 2019.