NPI | 1629762372 |
---|---|
Entity Type | Organization |
Authorized Contact | LEVON MARTIROSYAN CEO 747-322-0055 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-06-06 |