NPI | 1083233498 |
---|---|
Former Legal Business Name | THE POLO GROUP |
Entity Type | Organization |
Authorized Contact | LILLIAM POLO CEO 972-906-9112 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2020-04-15 |