NPI | 1881499705 |
---|---|
Doing Business As | A WILDWOOD RECOVERY |
Entity Type | Organization |
Authorized Contact | ANTONIO J TROISI Chief Executive Officer 818-821-4385 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-02-14 |
Last Update Date | 2025-02-14 |