NPI | 1154888469 |
---|---|
Doing Business As | AW II LLC |
Entity Type | Organization |
Authorized Contact | CATHERINE BUCHEGER Billing Director 657-304-0103 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-02-22 |
Last Update Date | 2023-01-30 |