| NPI | 1760840094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KLEIN Director Of Operations 424-320-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |