| NPI | 1386234540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAGHEB President 844-991-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-11-17 |