NPI | 1891239190 |
---|---|
Former Legal Business Name | ADDICTION RECOVERY, INC. |
Entity Type | Organization |
Authorized Contact | MARIA MACCHIO Credentialing/Billing Manager 843-299-1554 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Enumeration Date | 2016-12-06 |
Last Update Date | 2017-01-24 |