| NPI | 1508300161 |
|---|---|
| Other Name | RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | KIRK SHAFER CFO, VP 765-288-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |