| NPI | 1093031148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC A SANCHEZ Chief Executive Officer 325-224-3481 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 292C) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 292-B) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 292-E) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 292-C) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-07-16 |