| NPI | 1316597537 |
|---|---|
| Doing Business As | RECOVERY FOR LIFE |
| Entity Type | Organization |
| Authorized Contact | PAUL ALLEN HARDY Authorized Official 757-456-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-06-25 |