| NPI | 1932643814 |
|---|---|
| Doing Business As | MYLIFE RECOVERY CENTERS IOP |
| Entity Type | Organization |
| Authorized Contact | SCOTT ANDREW FUNKHOUSER Interim Director 812-204-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |