| NPI | 1487397030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACK RAGSDALE Director Of Contracting & Cred 512-454-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM2800X Clinic/Center Methadone | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-12-26 |