NPI | 1164704029 |
---|---|
Doing Business As | OXBOW CENTER |
Entity Type | Organization |
Authorized Contact | MARY JEAN JOHNSON CEO 307-250-2369 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
Enumeration Date | 2011-09-15 |
Last Update Date | 2024-08-29 |