NPI | 1154888469 |
---|---|
Doing Business As | AW II LLC |
Entity Type | Organization |
Authorized Contact | GILBERT YATES Contract Manager 877-262-7803 |
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 | 2024-10-01 |