NPI | 1083296636 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS ADAM PETRILLO Owner/Cmo 888-979-9503 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-04-23 |
Last Update Date | 2024-03-27 |