NPI | 1144523671 |
---|---|
Entity Type | Organization |
Authorized Contact | BILL JERON HOELSCHER CEO 361-814-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
171M00000X Case Manager/Care Coordinator | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2010-12-06 |
Last Update Date | 2024-06-12 |