| 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 |