| NPI | 1346851854 |
|---|---|
| Doing Business As | WINDWARD WAY RECOVERY |
| Entity Type | Organization |
| Authorized Contact | JESSE KELLERT C Eo 949-244-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-11 |