NPI | 1144641200 |
---|---|
Doing Business As | CAPSTONE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | FRED P TZYSTUCK Owner 304-573-4315 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2013-12-16 |
Last Update Date | 2013-12-16 |