| NPI | 1518620509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERYNE GAHIMBARE CEO/Administrator 930-430-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |