| NPI | 1609068162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MEYERS Executive Director 800-897-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL SR-52-AD-29001) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2011-04-05 |