| NPI | 1356876148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA MARTINEZ Agent 832-791-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2017-04-29 |