| NPI | 1083313811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BIXLER Chief Program Officer 844-766-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |