| NPI | 1497548978 |
|---|---|
| Doing Business As | MOONGLADE RECOVERY COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | RILEY COLLINS CEO 661-600-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |