NPI | 1124457858 |
---|---|
Doing Business As | BREATHE LIFE HEALING CENTERS |
Entity Type | Organization |
Authorized Contact | JEAN ANN DOCKERY Director Of Revenue Cycle Managemen 800-929-5904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 190788AP) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2013-11-04 |
Last Update Date | 2020-10-30 |