NPI | 1073058772 |
---|---|
Other Name | RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM |
Entity Type | Organization |
Authorized Contact | KIRK SHAFER CFO/VP 765-288-1928 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2017-01-04 |
Last Update Date | 2018-07-11 |