NPI | 1104941806 |
---|---|
Doing Business As | SOUTH CENTRAL REHABILITATION CENTER |
Other Name | SOUTH CENTRAL REHAB CENTER |
Entity Type | Organization |
Authorized Contact | SOL MARIA GONZALEZ Credentialing Specialist 203-503-3174 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA-0122) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-04-30 |