| NPI | 1194213843 |
|---|---|
| Doing Business As | BURNING TREE WEST LLC |
| Entity Type | Organization |
| Authorized Contact | JOSHUA MARTIN NEW Executive Director 207-420-7341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC8753) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |