| NPI | 1043147465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GREEN Owner 210-627-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |