Addiction Services
Clinic/Center, Methadone Clinic in Mckinney, TX. Organization (NPI-2).
NPI number1477853935
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1477853935
- Entity type
- Organization (NPI-2)
- Legal business name
- Addiction Services
- Organization subpart
- No
- Enumeration date
- Oct 29, 2010
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | 1000002 | TX | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Other names
- Medpro Treatment Centers-Mckinney (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 · Fax 602-248-8999
Authorized official
Thomas Richard Esbri
Credentialing Supervisor
4809771847
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