| NPI | 1659004455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL UCHECHUKWU Owner/Counselor 346-242-0275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-01-11 |