NPI | 1174695142 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA T SMITH-MATFIELD Owner 334-356-3597 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |