| NPI | 1588394514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN MCCALL Vice President Of Operations 877-768-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |