NPI | 1477008498 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DEYOUNG General Manager 385-630-2792 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT Applied for) |
Enumeration Date | 2016-08-19 |
Last Update Date | 2016-08-19 |