| NPI | 1245521509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN RAPIER Medical Director 866-597-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |