| NPI | 1518686690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HRACHUHI CHRISTINE PETIKYAN CEO 747-877-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-01-11 |