Organization
ADDICTION TREATMENT RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MINTO LCSW (CEO)
(903) 455-4114
Entity
Organization
Contact information
Practice address
4702 WESLEY ST STE D, GREENVILLE, TX 75401-5663
(903) 455-4114
(903) 455-2814
Mailing address
4702 WESLEY ST STE D, GREENVILLE, TX 75401-5663
(903) 455-4114
(903) 455-2814
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2465-A
TX
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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