NPI | 1093421943 |
---|---|
Doing Business As | THE DIFFERENTS |
Entity Type | Organization |
Authorized Contact | HEATHER MARIE SMYLY Director 928-308-4169 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-01-24 |
Last Update Date | 2024-01-30 |