NPI | 1124501937 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE PENDLETON Owner 214-618-2476 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-09-09 |
Last Update Date | 2019-08-27 |