| NPI | 1326455809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ANSCHUTZ CEO & Program Director 512-867-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53445) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2018-11-14 |