NPI | 1396365870 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF MINCHER Senior VP Revenue Cycle 682-236-3013 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2020-04-24 |
Last Update Date | 2023-08-17 |