| NPI | 1780107631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONNA ARMSTRONG Revenue Cycle Director 667-239-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2020-07-24 |