| NPI | 1811541105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE DORSEY-BENSON COO 866-975-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-09-29 |