| NPI | 1275381592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMEEN SIMONE LATORE Director Of Health Services 088-721-0294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |