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 |