| NPI | 1295136158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WAYNE WINN CEO 979-703-8292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2021-01-29 |