| NPI | 1205454808 |
|---|---|
| Doing Business As | INCURA |
| Entity Type | Organization |
| Authorized Contact | GRANT LEE Administrator 870-672-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-01-02 |