| 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 | 2024-11-13 |