| NPI | 1508541046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINDA TURKSON-OLADIMEJI Manager 346-758-2409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |