| NPI | 1376097949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY LEWIS ACEVEDO Counselor 512-697-8513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 27775) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |