Raleigh Professional Associates

NPI #1871752105 in Jackson, Tennessee

Provider Information

NPI Number
1871752105
Entity Type
Organization
Organization Name
Raleigh Professional Associates
Subpart
Yes (part of a larger organization)
Parent Organization
RALEIGH PROFESSIONAL ASSOCIATES
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jun 2, 2008
Last Updated
Jun 2, 2008

Practice Location

Address
1869 HIGHWAY 45 BYP
Address 2
SUITE 5
ZIP Code
38305-2464
Phone
(731) 660-0880

Authorized Official

Name
BARBARA KAY DOTY
Title
PROGRAM SPONSOR
Phone
(901) 372-7878

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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