| NPI | 1689371353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EXODUS APELSTEIN CEO 175-933-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |