NPI | 1548054760 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA LIPTON Executive Director 747-343-9523 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-04-04 |
Last Update Date | 2025-04-04 |