CONTRACT PHYSICIAN NPI 1306158720

NPI Information

CONTRACT PHYSICIAN is a methadone clinic center in Daphne, AL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CONTRACT PHYSICIAN NPI is 1306158720. The provider is registered as an organization entity type.

The provider's business location address is:

412 VILLAGE DR
DAPHNE, AL
ZIP 36526-001
Phone: (251) 621-7442
Fax: (251) 621-7442

The provider's authorized official is Harry Searing Pond .
The authorized official title is Contract Physician and has the following contact phone number (251) 621-7442.

The enumeration date for this NPI number is 7/14/2010 and was last updated on 7/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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