NPI | 1235375080 |
---|---|
Other Name | CEDAR MOUNTAIN DAY TREATMENT |
Entity Type | Organization |
Authorized Contact | BERNIS MEDLOCK Senior Vice President 870-793-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2008-12-29 |
Last Update Date | 2008-12-29 |