| NPI | 1518424258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY VIGER Owner 888-488-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2025-11-13 |