| NPI | 1083838585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN KAHCLAMAT Quality Management Director 409-838-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 124-124H) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 124-F) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-11-30 |