| NPI | 1366838005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KAY BAKER President 972-835-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-06-27 |