| NPI | 1407366776 |
|---|---|
| Doing Business As | MONTGOMERY TEEN RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANNE A MCALISTER Chief Executive Officer And Founder 619-442-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-06-08 |