NPI | 1689897225 |
---|---|
Doing Business As | SUBSTANCE USE REHABILITATION |
Entity Type | Organization |
Authorized Contact | TODD BEVERIDGE Director 515-247-3265 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |