NPI | 1255854956 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYNE LONGNECKER-HARPER CEO 800-474-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 360099BP) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2017-11-14 |