| NPI | 1659745669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SILLETTI VP 800-710-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 340109BP) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-17 |