NPI | 1619741071 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCY JOHNSTON Director Of Revenue Cycle Mgmnt 424-421-6609 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-11-07 |
Last Update Date | 2024-11-13 |