| NPI | 1649813858 |
|---|---|
| Doing Business As | CELADON RECOVERY |
| Entity Type | Organization |
| Authorized Contact | BRIAN WALOWITZ Director Of Technology 239-880-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2022-02-03 |