| NPI | 1851150825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR K SINGH Owner 176-344-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center Recovery Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |