NPI | 1184193963 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SLATTERY Manager 877-215-2224 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-11-21 |
Last Update Date | 2024-09-04 |