| NPI | 1619791944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA NEAL Manager, Cred & Contracting 629-257-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |