| NPI | 1295374940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH T CRANE CEO 855-483-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-12-29 |
| Last Update Date | 2019-12-29 |