| NPI | 1689429870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. DAVID JONES Operations Manager 754-779-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-08-26 |