Metro Treatment Of Florida, LP
Clinic/Center, Methadone Clinic in Cantonment, FL. Organization (NPI-2).
NPI number1720294366
StatusActive
Last updated in NPPESNov 4, 2022
Details
- NPI
- 1720294366
- Entity type
- Organization (NPI-2)
- Legal business name
- Metro Treatment Of Florida, LP
- Organization subpart
- Yes
- Enumeration date
- May 14, 2007
- Certification date
- Nov 4, 2022
- Last updated
- Nov 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
| 251S00000X | Community/Behavioral Health | 0117AD121900 | FL | |
| 3336C0002X | Pharmacy, Clinic Pharmacy | PH 16382 | FL |
Other names
- New Season Treatment Center 11 (Doing Business As)
Practice location
2420 S Highway 29Cantonment, FL 32533-5808
Phone 850-968-3565 · Fax 850-968-3575
Mailing address
2500 Maitland Center ParkwaySuite 250
Maitland, FL 32751-4174
Phone 407-351-7080 · Fax 407-351-6930
Authorized official
Maria Jackson
Cfo
4073517080
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