| NPI | 1003005828 |
|---|---|
| Doing Business As | MANIILAQ RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ROCIO BAQUERIZO Deputy Director 907-442-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |