| NPI | 1114050010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCHWEND CEO 660-665-1962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 2445-A) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |