| NPI | 1023883451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON PAUL HARMER Owner 817-598-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |