Organization
ALTERNATIVE OPIATE TREATMENT PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE JEAN VAN CLEAVE LVN (PROGRAM SPONSOR)
(903) 284-6802
Entity
Organization
Contact information
Practice address
1401 E RUSK ST, JACKSONVILLE, TX 75766-3400
(903) 284-6802
(903) 284-6803
Mailing address
PO BOX 1008, JACKSONVILLE, TX 75766-1008
(903) 284-6802
(903) 284-6803
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352121301
—
TX
Enumeration date
07/03/2015
Last updated
04/20/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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