| NPI | 1740120245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINE ANDRYASYAN CEO 747-213-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |