| NPI | 1316782337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCE WILLIAM LUNA Member 214-675-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |