NPI | 1427193077 |
---|---|
Doing Business As | MCCAMBRIDGE CENTER |
Entity Type | Organization |
Authorized Contact | TERESA L PORTER Credentialing Manager 636-466-6452 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2007-02-21 |
Last Update Date | 2025-09-02 |