NPI | 1174860266 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY DAVID HARDT Owner/Director 254-776-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 220734) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3581-3582) |
Enumeration Date | 2013-01-09 |
Last Update Date | 2013-01-09 |