| NPI | 1669899241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG TOUTANT CEO 906-228-9699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2023-12-28 |