| NPI | 1912406471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN CRATCH CEO/Executive Director 862-253-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2024-06-06 |