| NPI | 1124654801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WEST Owner 281-935-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |