NPI | 1740285196 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CHESTER BELL CEO 386-947-1480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 261QCI500X) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2020-08-22 |