| NPI | 1134892508 |
|---|---|
| Doing Business As | VILLA MARIA SUD - FALLSWAY LEVEL 1 |
| Entity Type | Organization |
| Authorized Contact | GLORIA REEVES A/R, Billing, And Systems Manager 667-600-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |