| NPI | 1992398713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN RIEGER Owner 800-592-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-12 |