| NPI | 1134503147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GARDZINA CEO 832-457-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 3351-3850) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2017-10-13 |