NPI | 1477704898 |
---|---|
Doing Business As | DELTA CARE COMMUNITY BASED REHABILITATION |
Entity Type | Organization |
Authorized Contact | DONNIE LYERLY Provider Credentialing 870-972-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2012-12-11 |