| NPI | 1346698693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHEPPARD CFO 832-289-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1302) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: FL 1302) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2022-07-21 |