| NPI | 1912666157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE LAXTON Executive 412-564-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |