| NPI | 1447621404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH PUZDER President/COO 866-801-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 4301) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-07-21 |