| NPI | 1740005453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOVHANNES MKRTCHYAN CEO 747-774-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |