| NPI | 1437255031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED J HANSEN CEO 972-985-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 3049/3050) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-02-10 |