NPI | 1861902926 |
---|---|
Doing Business As | HABIT OPCO - BRATTLEBORO |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-716-9335 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2017-10-03 |
Last Update Date | 2024-12-27 |