| NPI | 1073166278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LESLIE COO, Co Founder 814-853-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2023-11-27 |