| NPI | 1194250258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ANN DOCKERY Director Of Rcm 800-870-3973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2021-02-13 |