| NPI | 1124337225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA CANTU Provider Relations Specialist 956-289-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3277) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-01-23 |