| NPI | 1487869632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN GRANT DAVEY Executive Director 512-454-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 654-3266) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 654A) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-01-24 |