NPI | 1114535978 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN BIXLER Chief Program Officer 888-733-7755 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2020-07-17 |
Last Update Date | 2020-07-17 |