| NPI | 1134848856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R FONTENOT Member 281-293-9600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-10-04 |