| NPI | 1265615462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RAE HARRIS CEO/Program Sponsor 936-524-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TX Tx10096M) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2012-04-20 |