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
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