| NPI | 1962164962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J WEDEKIND CEO/Chairman Of The Board 844-263-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 133N00000X Nutritionist | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2024-01-12 |