| NPI | 1700262490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA STENZ Behavioral Health Insurance Coordin 450-241-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |