| NPI | 1396521746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HRACHUHI CHRISTINE PETIKYAN CEO 747-877-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-12-29 |