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 |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-12-11 |
Last Update Date | 2023-06-21 |