| NPI | 1861067951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL RAJANI CEO 149-397-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |