NPI | 1467104067 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL D FRY Chairman Of The Board Of Directors 765-242-5790 |
Organization Subpart ? | No |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
Enumeration Date | 2022-01-25 |
Last Update Date | 2022-01-25 |