NPI | 1114591849 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN CASEY President 740-350-9095 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-05-17 |
Last Update Date | 2021-07-23 |