| NPI | 1275357733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A MILLER CEO 862-252-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |