| NPI | 1518356625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CORSON CEO 855-687-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2024-05-30 |