| NPI | 1699510198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE CAUSBY Credentialing/Contracts 251-405-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |