| NPI | 1235864372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISA HEARD Chief Executive Officer 754-202-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-09-27 |