| NPI | 1609537299 |
|---|---|
| Other Name | JOHN KIVELA RECOVERY RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | GREGORY MILES TOUTANT CEO 906-228-9699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-11-04 |