NPI | 1972791408 |
---|---|
Other Name | ADULT ODF RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | ANDREA KUHLEN Director 442-265-1525 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2007-10-10 |
Last Update Date | 2019-10-04 |