| NPI | 1760090518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BIXLER Chief Program Officer 844-766-8717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2024-01-11 |