| NPI | 1346676285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MATTHEW GARDZINA CEO 979-480-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2017-10-13 |