| NPI | 1609261908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN DONAHUE COO 800-515-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |