| NPI | 1841866555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALMAN GABRIEL Owner 877-255-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 261Q00000X | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-11 |