| NPI | 1134556798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN GARCIA President 325-670-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2021-04-29 |