NPI | 1326896366 |
---|---|
Entity Type | Organization |
Authorized Contact | TROY DUCKETT Executive Director 800-671-8193 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-05-06 |
Last Update Date | 2024-05-06 |