| NPI | 1053135632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE ORLINSKY CEO 314-971-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |