| NPI | 1487196358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HUBACEK CEO 713-858-9579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2019-08-09 |