NPI | 1750077848 |
---|---|
Former Legal Business Name | BARIKUURA VITALITY BEHAVIORAL HOME LLC |
Entity Type | Organization |
Authorized Contact | LETOR KPEE The Administrator 623-570-1308 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-04-12 |