| 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 |