| NPI | 1033915509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMPSON CEO 844-415-9860 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-25 |