| NPI | 1487218251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SCOTT NOBLES President 936-463-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2019-04-27 |