| NPI | 1013381110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL RIOLO COO 560-563-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5001) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2022-07-21 |