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 |