NPI | 1457107914 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE KINOHI Sr. Director Medical Billing 307-426-4727 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-04-25 |
Last Update Date | 2024-04-25 |