| NPI | 1386651958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD KITSMILLER Lpc 956-583-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 2377-O) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |