NPI | 1508509373 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICKA BUNAG Executive Assistant 888-489-1019 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-04-19 |
Last Update Date | 2024-04-09 |