| NPI | 1891668398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUK PARSMYAN Chief Executive Officer 747-561-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-12-23 |