| NPI | 1245754894 |
|---|---|
| Doing Business As | LONGBRANCH RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | EMILY ELIZABETH MEYERS Executive Director 920-309-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |