| NPI | 1396951034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL TAYLOR Admin. Asst. 325-646-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 1641) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 1641A) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-11-09 |