| NPI | 1437317245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CARVAJAL President 210-977-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TX 0000033) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2024-03-12 |