| NPI | 1386143022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT KUHLMAN CFO 713-266-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 4255-4261) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-11-09 |