| NPI | 1336254184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY BOITNOTT Executive Director 254-965-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 859-A) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |