| NPI | 1588376859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MADDALONI Managing Partner 855-762-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-09-08 |