| NPI | 1194469296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA ANDERSON Clinical Director 325-267-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |