| NPI | 1922240746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY MURRAY CEO 267-640-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD743501) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2010-08-31 |