| NPI | 1477918787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MELENDEZ Office Manager 783-671-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-02-04 |