| NPI | 1447608922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRANJAN JANI Chief Administrator 844-224-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2020-08-31 |