| NPI | 1053025908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TZATZIMAKIS CEO 888-330-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2025-11-04 |