| NPI | 1689028789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONTE STEWART CEO 8448-027-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |