| NPI | 1477276566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA SHILATI Chief Operating Officer 424-234-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-22 |