| NPI | 1093284598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES BELL Owner 769-223-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-01-22 |