| NPI | 1083087589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM HARTWIG Executive Director 409-933-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 1904-1904A) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |