| NPI | 1033543988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ELLIOTT CEO 888-431-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NM 0157171) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |