| NPI | 1831673763 |
|---|---|
| Former Legal Business Name | GOLDEN PEAK RECOVERY |
| Entity Type | Organization |
| Authorized Contact | ROBERT NIZNIK CEO 855-694-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2020-05-29 |