| NPI | 1841816204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE CROCCO Owner/CEO 267-744-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-09-25 |