| NPI | 1467993782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN RUCCI Owner 330-720-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-05-19 |