| NPI | 1790551380 |
|---|---|
| Doing Business As | RECOVERY HEALING AND RECOVERY CENTER-NI |
| Entity Type | Organization |
| Authorized Contact | TRACY RANDALL Billing 918-756-4333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |