| NPI | 1164234449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LUNA Owner/Don 772-400-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |