NPI | 1346698693 |
---|---|
Doing Business As | FALLEN LEAVES RECOVERY LLC |
Entity Type | Organization |
Authorized Contact | MARK SHEPPARD CFO 832-289-3350 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1302) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1302) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2022-07-21 |