| NPI | 1245762681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN DUNCAN Managing Member 888-509-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 4173-4174) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-07-21 |