| NPI | 1043050982 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NATHAN CAPEHART CEO 512-787-6769 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | 
| Enumeration Date | 2024-05-29 | 
| Last Update Date | 2024-05-29 |