Huntsville Clinic, INC
NPI #1265615462 in Huntsville, Texas
Provider Information
- NPI Number
- 1265615462
- Entity Type
- Organization
- Organization Name
- Huntsville Clinic, INC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Dec 11, 2007
- Last Updated
- Apr 20, 2012
Practice Location
- Address
- 829 10TH ST
- City
- Huntsville
- State
- Texas
- ZIP Code
- 77320-4721
- Phone
- (936) 291-9172
Authorized Official
- Name
- MS. STACEY RAE HARRIS, L.C.D.C.
- Title
- CEO/PROGRAM SPONSOR
- Phone
- (936) 524-2140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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