Organization · Type 2 NPI
Contract Physician
Methadone Clinic · Daphne, AL
NPI number
1306158720
Active
Practice location
412 Village Dr
Daphne, AL 36526-4001
Fax (251) 621-7442
Mailing address
412 Village Drive
Daphne, AL 36526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 6782 (AL) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Other methadone clinic providers in Daphne
About NPI 1306158720
Contract Physician's National Provider Identifier is 1306158720, issued on Jul 14, 2010. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Daphne, AL. The record was last updated on Jul 14, 2010.