| NPI | 1306625868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE ETHELIN KING-DUNCAN Administrative Director 210-240-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-01-30 |