| NPI | 1003661737 |
|---|---|
| Doing Business As | TML VILLA CANYON |
| Entity Type | Organization |
| Authorized Contact | KASEY BOGOJE Owner 855-435-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-06-17 |