| NPI | 1194298976 |
|---|---|
| Doing Business As | PINELANDS RECOVERY CENTER OF MEDFORD |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRADLEY COOPER CFO 714-947-7351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |