| NPI | 1043455538 |
|---|---|
| Doing Business As | COMMUNITY REHABILITATION CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | EARNEST JEROME WYATT Owner 318-503-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2023-06-21 |