| NPI | 1427657642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL J KANAWITE President 210-683-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |