| NPI | 1063878502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA BEAN Chief Revenue Cycle Officer 772-247-1428 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ OTC7625) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH4857) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-12-22 |