NPI | 1386159176 |
---|---|
Doing Business As | BOWEN RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | JAY BAUMGARTNER CFO 574-267-7169 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2017-12-04 |
Last Update Date | 2024-11-11 |