NPI | 1477801090 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE FLORES Account Specialist 754-201-2265 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD975201) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |