NPI | 1801156963 |
---|---|
Doing Business As | RESTORING LIVES PROGRAM |
Entity Type | Organization |
Authorized Contact | DUSTAN EVANS Director 918-445-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2012-05-23 |
Last Update Date | 2012-05-23 |