| NPI | 1215447297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW GORMAN Authorized Official 512-858-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2019-04-17 |