NPI | 1457017642 |
---|---|
Doing Business As | RECOVER/DREAM |
Former Legal Business Name | REBOS TODAY IOP LLC |
Entity Type | Organization |
Authorized Contact | JAMES M FULLER Chief Marketing Officer 662-638-6842 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-11-11 |
Last Update Date | 2022-06-29 |