NPI | 1619554623 |
---|---|
Entity Type | Organization |
Authorized Contact | KACY MARIE EAST Office Manager 251-800-1166 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-03-25 |
Last Update Date | 2021-03-25 |