| NPI | 1033494273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH H WHAITE MIS Director 940-397-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 2464A) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-20 |