Organization · Type 2 NPI

Methadone Clinic of East Texas LLC

Methadone Clinic · Tyler, TX

NPI number 1104144088 Active

Practice location

1510 S Vine Ave
Tyler, TX 75701-2826

Call (800) 805-6989 Map

Mailing address

PO Box 749057
Atlanta, GA 30374-9057

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Methadone Clinic Primary 261QM2800X000039 (TX)
Primary Care Clinic/Center 261QP2300XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone 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.

19 other providers at this address

About NPI 1104144088

Methadone Clinic of East Texas LLC's National Provider Identifier is 1104144088, issued on May 17, 2010. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Tyler, TX. The record was last updated on Sep 3, 2024.