| NPI | 1245784016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BANNIS CEO 832-869-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 40824083) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-08-10 |