| NPI | 1336882992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JACOB BRUHIN CEO 618-213-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2025-07-23 |