| NPI | 1053856047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE FREEMAN Owner/President 361-350-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MD 261QR0405X) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |