NPI | 1902926884 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA RALANDA BROWN Executive Director 251-458-3604 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |