| NPI | 1275267155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BIXLER Chief Program Officer 844-766-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |