| NPI | 1215055090 |
|---|---|
| Doing Business As | ELM ACRES RECOVERY -COLUMBUS OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | KERYE J JACKSON CFO 785-841-4138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X (Licence: KS 052) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-05-29 |