NPI | 1780235929 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIF RAFI Medical Director 724-483-4282 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
251S00000X | |
Enumeration Date | 2019-09-27 |
Last Update Date | 2020-11-25 |