| NPI | 1053922682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DELAROSA Managing Partner 888-510-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-25 |