NPI | 1699430264 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA RENEE STAMP Director Of Billing 800-545-9031 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-11-08 |
Last Update Date | 2022-06-09 |