| NPI | 1134463979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SAULS Administrator 281-802-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3028-3029) |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2012-11-17 |