| NPI | 1619531894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD SALMAN President 304-203-4927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2020-02-19 |