| NPI | 1437780673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY POOL President/CEO/Owner 385-319-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2023-07-27 |