Organization
MADAM LLC
Active
Other names
Benchmark Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA STONE (OWNER)
(954) 678-0078
Entity
Organization
Contact information
Practice address
11503 PARSONS RD, MANOR, TX 78653-5220
(954) 678-0078
Mailing address
11503 PARSONS RD, MANOR, TX 78653-5220
(954) 678-0078
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
TX
291U00000X
Clinical Medical Laboratory
45D205579
TX
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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