| NPI | 1316684400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA POKHOZHAY Revenue Integrity Supervisor 713-341-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2023-11-15 |