| NPI | 1699129189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM RUDO Director Of Billing Services 844-368-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-06-15 |