| NPI | 1043766280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDAN S FREEMAN CEO/Founder 855-740-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-05-27 |