| NPI | 1730752627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WILKINS CEO 754-312-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2022-09-22 |