| NPI | 1316708571 |
|---|---|
| Other Name | NATHAN LYTLEPINHEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 310400000X Assisted Living Facility | |
| 374K00000X | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |