| NPI | 1841606639 |
|---|---|
| Doing Business As | THE KILOBY CENTER FOR RECOVERY, LLC |
| Entity Type | Organization |
| Authorized Contact | SCOTT ANDREW FUNKHOUSER Director 442-666-8526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 330121ap) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-03-12 |