| NPI | 1134833932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MEDLEY CEO 254-251-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QR0800X Clinic/Center Recovery Care | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |