| NPI | 1518621986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA MCMORRIS CEO 667-802-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2023-06-21 |