NPI | 1003554346 |
---|---|
Entity Type | Organization |
Authorized Contact | SARGIS MANUKYAN CEO 747-444-1404 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-05-26 |
Last Update Date | 2022-05-26 |