| NPI | 1295487833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE LINARES VP Of Compliance 888-700-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-11-09 |