| NPI | 1376658070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE WHITE Marketing Manager 281-332-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 101YA0400X) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-03-18 |