| NPI | 1508729856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHAWNA ARMSTRONG CEO 667-224-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-04 |