| NPI | 1063092807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY ANDINO CEO 214-504-6670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-05-07 |