| NPI | 1073220802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET PHILPOT WATKINS Owner/CEO/President 606-312-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-12-27 |