| NPI | 1396960886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTON CAREY Executive Director 979-823-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-07-21 |