| NPI | 1619707239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE FLEMINGS Executive Director 833-937-2463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |