| NPI | 1518405307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI CASCIO Executive Director 9972-835-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |