| NPI | 1235523085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARMINDER S MALLIK Owner 985-781-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: LA 2203782288) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2023-11-16 |