| NPI | 1811379845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLYNE ROUNDTREE Managing Partner 888-380-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2019-06-25 |