| NPI | 1720416340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ADLER Authorized Offical 800-652-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1706AD574001) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2018-07-17 |