| NPI | 1083117428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA TOMLINSON CEO 254-749-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2024-03-26 |