NPI | 1124595004 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL EDWARD PALOMO Owner/Substance Use Counselor 308-631-9357 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-10-29 |