| NPI | 1306475710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISRAT MESFIN Medical Director 512-947-2747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |