| NPI | 1144865809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA TAVAREZ Owner 915-540-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2023-01-10 |