| NPI | 1053693820 |
|---|---|
| Doing Business As | LIFEWAY |
| Entity Type | Organization |
| Authorized Contact | JOHN C CATES Executive Director 713-459-9427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3354-3355) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3354-3355) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2013-05-30 |