| NPI | 1508303298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ZAGHA Chief Operating Officer 877-373-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2022-06-21 |