NPI | 1154143543 |
---|---|
Doing Business As | STONERIDGE CENTERS |
Entity Type | Organization |
Authorized Contact | JOSEPH LETENDRE CEO 928-583-7799 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
324500000X Substance Abuse Rehabilitation Facility | |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
Enumeration Date | 2024-10-28 |
Last Update Date | 2024-11-15 |