NPI | 1417720848 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCY JOHNSTON Director Of Revenue Cycle Managment 424-421-6609 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-11-07 |
Last Update Date | 2024-08-15 |