NPI | 1740042076 |
---|---|
Doing Business As | HILLSIDE RETREAT DETOX CENTER |
Entity Type | Organization |
Authorized Contact | JARED TURNER Billing Manager 772-812-9652 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2024-01-23 |
Last Update Date | 2024-01-23 |