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 |