NPI | 1861892101 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY STRUVE President 800-994-3751 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC6755) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OTC6755) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2016-08-12 |