| NPI | 1851895361 |
|---|---|
| Doing Business As | GOLDWING RECOVERY |
| Entity Type | Organization |
| Authorized Contact | AARON CRAWFORD Agent 818-305-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-07-17 |