NPI | 1902237209 |
---|---|
Entity Type | Organization |
Authorized Contact | DREW EDWARDS Billing Manager 754-201-3980 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190790AP) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2013-12-12 |