| NPI | 1255841169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSABETH FERRERE Principle 540-760-6285 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-10-02 |