NPI | 1821550807 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSEY BOONE CEO 888-888-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2019-04-01 |