| NPI | 1144601899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RENEE HOWELL Owner 254-968-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |