| NPI | 1144680083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMER JEAN WELCH Social Worker 903-583-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC P009453) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |