| NPI | 1205400058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY PRIMES PIERCE CEO 202-236-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2025-03-13 |