| NPI | 1104417369 |
|---|---|
| Doing Business As | DAVID R GREENBAUM |
| Entity Type | Organization |
| Authorized Contact | DAVID R GREENBAUM Mr 281-899-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |