| NPI | 1104303478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT BOYLE Chief Operating Officer 469-394-9083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |