NPI | 1124251400 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN CARL STROMBERGER Executive Director 210-633-0201 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 10267) |
Enumeration Date | 2009-09-02 |
Last Update Date | 2009-09-02 |