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Methadone Clinic Of East Texas Llc
Substance Use Disorder Rehabilitation Clinic/Center in Tyler, Texas
NPI 1104144088

Methadone Clinic Of East Texas Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Atlanta, TX and is specialized in Rehabilitation, Substance Use Disorder. Methadone Clinic Of East Texas Llc practices in Tyler, TX. The NPI Number for Methadone Clinic Of East Texas Llc is 1104144088 and holds a License No. (Texas).

The current practice location address for Methadone Clinic Of East Texas Llc is 1510 S Vine Ave, Tyler, TX and can be reached out via phone at 800-805-6989.

Location: 1510 S Vine Ave, Tyler, TX, 30374-9057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104144088
Provider Name
Methadone Clinic Of East Texas Llc
Credential
Provider Entity Type
Organization
Address
1510 S Vine Ave, Tyler, TX, 30374-9057
Phone Number
800-805-6989
Fax Number
Provider Enumeration Date
05/17/2010
Last Update Date
09/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2121550 05 TX
institution
Provider Business Practice Location Address Details
Address
1510 S Vine Ave
City
Tyler
State
Texas
Zip
75701-2826
Phone Number
800-805-6989
Fax Number
person
Provider Business Mailing Address Details
Address
1510 S Vine Ave
City
Tyler
State
Texas
Zip
75701-2826
Phone Number
800-805-6989
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Texas)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
000039 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
semi-verified symbol
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