NPI | 1750876835 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN ANN DOCKERY Director Of Rcm 800-929-5904 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190788BP) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2020-10-30 |