| NPI | 1003451584 |
|---|---|
| Doing Business As | VANCE JOHNSON RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE JONES Revenue Cycle Director 352-597-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2020-09-09 |