| NPI | 1144981200 |
|---|---|
| Doing Business As | BLAST RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BRANDI N HALL Executive Director/CEO 757-304-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2024-04-13 |