NPI | 1033814496 |
---|---|
Entity Type | Organization |
Authorized Contact | JARED TURNER Billing Manager 772-812-9652 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-12-20 |