| NPI | 1912653155 |
|---|---|
| Doing Business As | CHANNEL ISLANDS REHAB OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | ALLISON HOPKINS CEO 214-934-8999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2023-03-16 |