| NPI | 1194278457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WAKNIN CEO 888-845-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-01-30 |