| NPI | 1184289548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE RAUB CEO 855-698-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-02-12 |