| NPI | 1508509373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA BUNAG Executive Assistant 888-489-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-04-09 |