| NPI | 1952877334 |
|---|---|
| Doing Business As | PALOMA CRISIS STABILIZATION DETOX UNIT |
| Entity Type | Organization |
| Authorized Contact | PETER J CALLAHAN Owner 304-886-4118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |