is a Substance Abuse Rehabilitation Facility in , . practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for is 1922217322. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | , , |
| Phone Number | |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922217322 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | |
|---|---|
| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 1000007-07 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5515 | NJ | -- | |
| 7609507 | NJ | -- |
Post Comment/ Review Below
Address: 687 Cheshire Ave, Eugene, OR
Address: Po Box 4437, Rock Hill, SC
Address: 107 Acoma St, Denver, CO
Address: Po Box 756, Winfield, KS
Address: Po Box 70289, North Charleston, SC
Address: Po Box 6196, Florence, SC
Address: 330 Kay Larkin Dr, Palatka, FL
Address: 1221 W Lakeview Ave, Pensacola, FL
Address: 6333 E Skelly Dr, Tulsa, OK
Address: 1523 S Fairmount St, Davenport, IA
Address: 311 Rouser Rd, Moon Township, PA
Address: 800 5th Street, Sioux City, IA
Address: 4836 Wabash St, Metairie, LA
Address: 1361 Elm St, Manchester, NH
Address: 130 Dakota St S, Woodstock, MN