NPI | 1366285934 |
---|---|
Entity Type | Organization |
Authorized Contact | GILBERT YATES Contracting Manager 877-262-7803 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2024-06-13 |
Last Update Date | 2024-06-13 |