Addiction Services
Clinic/Center, Methadone Clinic in Mckinney, TX. Organization (NPI-2).
NPI number1457062119
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1457062119
- Entity type
- Organization (NPI-2)
- Legal business name
- Addiction Services
- Organization subpart
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 12, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Other names
- Cms Medpro (Doing Business As)
Practice location
405 N Mcdonald St Ste BMckinney, TX 75069-3911
Phone 972-542-4144
Mailing address
8444 N 90th St Ste 100Scottsdale, AZ 85258-4437
Phone 602-248-8886
Authorized official
Cindy Gaither
Vice President Revenue Cycle Manage
6022488886
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