NPI | 1790229771 |
---|---|
Doing Business As | MYLIFE RECOVERY CENTERS IOP |
Entity Type | Organization |
Authorized Contact | SCOTT ANDREW FUNKHOUSER Interim Director 812-204-4324 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |