| NPI | 1518306018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA S. SAINI Medical Director 855-925-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |