| NPI | 1881479475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL STEIN Owner 985-520-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |