| NPI | 1750049284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KOLIN Authorized Person 877-427-8180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-08-23 |