| NPI | 1164967865 |
|---|---|
| Other Name | RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | KIRK SHAFER CFO/VP 765-288-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |