Organization · Type 2 NPI
Vcphcs Xxii, LLC
Methadone Clinic · Lufkin, TX
NPI number
1124464136
Active
Practice location
105 E Bremond Ave
Lufkin, TX 75901-3025
Fax (936) 637-2220
Mailing address
8300 Douglas Ave, Suite 750
Dallas, TX 75225-5603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 1000038 (TX) |
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 1124464136
Vcphcs Xxii, LLC's National Provider Identifier is 1124464136, issued on May 16, 2013. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Lufkin, TX. The record was last updated on May 16, 2013.