| NPI | 1023790805 |
|---|---|
| Doing Business As | PACIFIC SKY RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL D GILBERT Clo 615-716-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |