| NPI | 1417470485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L HOUSEWORTH Operations & Compliance Consultant 832-248-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |