| NPI | 1104583715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDAN FREEMAN CEO 855-740-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |