| NPI | 1134235963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C HARVEY Executive Director 512-250-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 3092-3302) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13038) |
| 101YM0800X Counselor, Mental Health (Licence: TX 4933) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-02-23 |