| NPI | 1154067759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J RANDOLPH Owner And Founder 214-414-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2022-05-07 |