| NPI | 1538810304 |
|---|---|
| Doing Business As | CELADON RECOVERY |
| Entity Type | Organization |
| Authorized Contact | BRIAN WALOWITZ Director Of Technology 239-880-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-08-29 |