| NPI | 1003616848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUREN HARUTYUNYAN CEO 747-688-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |