| NPI | 1073349874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIRE N NKOMEZI Owner 817-707-2798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |