| NPI | 1548706898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERITO MARTINEZ CEO 844-435-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-30 |