| NPI | 1649705393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE LAMARRA CEO 772561-676-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-03 |