| NPI | 1063462109 |
|---|---|
| Other Name | FAYETTE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | AARON SHIPE CFO 740-477-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-03-05 |