| NPI | 1083372239 |
|---|---|
| Doing Business As | SISTER AUGUSTA REILLY HOUSE |
| Entity Type | Organization |
| Authorized Contact | VANESSA LYLE Billing Manager 667-212-3626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |