| NPI | 1134803075 |
|---|---|
| Doing Business As | BIRCH TREE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | DION BUFFALOW Executive Director 505-819-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-08-10 |