NPI | 1164113551 |
---|---|
Former Legal Business Name | CLEAN START RECOVERY INC |
Entity Type | Organization |
Authorized Contact | TIFARRAH EMMA WILLIAMS Executive Secretary 562-488-7046 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |