| NPI | 1376933267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO AVILA Owner 956-381-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 1816A) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |