| NPI | 1265040554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BIXLER Chief Program Officer 888-733-7755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |