NPI | 1083224794 |
---|---|
Doing Business As | WINDWARD WAY RECOVERY |
Entity Type | Organization |
Authorized Contact | JESSE KELLERT CEO 949-244-2279 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-06 |