NPI | 1619567823 |
---|---|
Entity Type | Organization |
Authorized Contact | KARL RAJANI President 414-301-6381 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-01-21 |