| NPI | 1871136143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FIORE CEO 804-514-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2020-04-17 |