| NPI | 1568817880 |
|---|---|
| Doing Business As | JUNIPER RECOVERY |
| Entity Type | Organization |
| Authorized Contact | ANDY BORDELON CEO 425-295-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC7650) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |