NPI | 1649973108 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA HILL CEO 772-323-1856 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-23 |
Last Update Date | 2024-08-13 |