NPI | 1841418514 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH MILES COWAN Executive Director Owner 5802-376-5443 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |