NPI | 1972811198 |
---|---|
Doing Business As | THE EDGE OF RECOVERY |
Entity Type | Organization |
Authorized Contact | DEBORAH EMILY KAY Clinical Director 641-780-1087 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: IA 1339) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |