| NPI | 1437280534 |
|---|---|
| Doing Business As | WTCR SAN ANGELO, INC. |
| Entity Type | Organization |
| Authorized Contact | IVAN GARCIA President 325-653-3683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2021-04-29 |