| NPI | 1699532374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WEBER E WEBER Owner 740-501-7379 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |