| NPI | 1467051367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BATTLE Chief Executive Officer 862-343-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2023-12-04 |