Organization
ADDICTION SERVICES CS, LLC
Active
Other names
Medpro Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP D YOUNG (CEO)
(979) 599-9450
Entity
Organization
Contact information
Practice address
1103 UNIVERSITY DR E, SUITE 100, COLLEGE STATION, TX 77840-2357
(979) 599-9450
(979) 599-9451
Mailing address
1103 UNIVERSITY DR E, SUITE 100, COLLEGE STATION, TX 77840-2357
(979) 599-9450
(979) 599-9451
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
1000020
TX
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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