| NPI | 1568266799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYER Chief Reimbursement Officer 765-719-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |