| NPI | 1518756196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 203783712) |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care (Licence: LA 2203785715-A) |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |