| NPI | 1508554403 |
|---|---|
| Doing Business As | ESSENTIAL LIVING |
| Entity Type | Organization |
| Authorized Contact | KAY LYNN THWAITES CEO 331-219-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-06-19 |