Organization
ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC.
Active
Other names
Add-Life Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENTINE S ADELMAN BSN, RN (PROGRAM SPONSOR)
(903) 596-0606
Entity
Organization
Contact information
Practice address
3322 E 5TH ST, TYLER, TX 75701-5144
(903) 596-0606
(903) 596-0661
Mailing address
3322 E 5TH ST, TYLER, TX 75701-5144
(903) 596-0606
(903) 596-0661
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
0000109
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0000109
TX
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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