NPI | 1447099056 |
---|---|
Doing Business As | NEWHAVEN RECOVERY LODGE |
Entity Type | Organization |
Authorized Contact | HEATHER HOOVER Billing Specialist /Credentialing C 870-864-2496 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-05-22 |
Last Update Date | 2024-05-28 |