| NPI | 1043691504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN SACKS CFO 800-481-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2023-08-02 |