| NPI | 1821629536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLAN PUGH CEO/Lmhc 386-589-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-04-06 |