NPI | 1013422526 |
---|---|
Other Name | CIVIL @ NATALE |
Entity Type | Organization |
Authorized Contact | DONNA K BUSCH Director Payer Contracting 445-206-3028 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2017-12-06 |
Last Update Date | 2023-03-07 |