| NPI | 1235663345 |
|---|---|
| Other Name | 7TH STREET |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L RAY Executive Director 385-261-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 38350) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2018-01-16 |