NPI | 1659528693 |
---|---|
Doing Business As | BROOKSIDE TREATMENT FACILITY |
Entity Type | Organization |
Authorized Contact | SHAWN BARTON Executive Director, Revenue Cycle 800-813-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2008-08-21 |
Last Update Date | 2022-06-23 |