| NPI | 1922526425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY YEVETTE HARVEYFULLER CEO/Founder 800-953-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 360112AN) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2020-10-20 |