| NPI | 1245521947 |
|---|---|
| Other Name | YELLOWSTONE, WROC |
| Entity Type | Organization |
| Authorized Contact | KATHERINE ROSE CATANZARITE Contracts Negotiator/Medical Biller 818-773-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300121AN) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |