| NPI | 1184911471 |
|---|---|
| Doing Business As | EASAP |
| Entity Type | Organization |
| Authorized Contact | STEVE GLENN WILKERSON Alcohol / Drug Counselor 1870-572-3733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |