| NPI | 1093012569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEENON WILBORN CEO 832-273-4724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |