| NPI | 1164873253 |
|---|---|
| Doing Business As | IRECOVERY SANTA MARIA |
| Entity Type | Organization |
| Authorized Contact | JOHN KROLL Supervisor 805-631-5268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |