| NPI | 1396365870 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JEFF MINCHER Senior VP Revenue Cycle 682-236-3013  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility | 
| Enumeration Date | 2020-04-24 | 
| Last Update Date | 2023-08-17 |