| NPI | 1245680206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG WOOLSTON Business Development 877-586-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 20408) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |