ADDICTION THERAPEUTIC SERVICES

Preferred Provider Organization

NPI: 1063045482Organization

Specialties, Licenses & Credentials

Mental Health Clinic/Center (Including Community Mental Health Center)

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Substance Use Disorder Rehabilitation Clinic/Center

Clinic/Center — Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Preferred Provider OrganizationPrimary

Preferred Provider Organization

Code: 305R00000X

Practice Location

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