NPI | 1528454006 |
---|---|
Doing Business As | NEXT GENERATION VILLAGE |
Entity Type | Organization |
Authorized Contact | BELINA SURUJON Licensing & Contracting Director 754-300-3120 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2801) |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2015-04-10 |
Last Update Date | 2022-07-21 |