| NPI | 1467510560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCGLONE Director Finance 267-291-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: PA 051001) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PA 051001) |
| 284300000X Special Hospital (Licence: PA 051001) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-02-11 |