| NPI | 1508403965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TZATZIMAKIS CEO 888-330-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2025-11-04 |