| NPI | 1275338196 |
|---|---|
| Doing Business As | A WILDWOOD RECOVERY |
| Entity Type | Organization |
| Authorized Contact | ANTONIO J TROISI Chief Executive Officer 818-821-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |