NPI | 1689216574 |
---|---|
Doing Business As | WATER GAP WELLNESS |
Entity Type | Organization |
Authorized Contact | JOSEPH ALEXANDER SCHLIM CEO 203-524-3039 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-10-11 |