| NPI | 1235821570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASIR AL-HAJJ MUHAMMAD Administrator 833-687-8328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-11-16 |