| NPI | 1497755839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SANBORN CEO 817-922-1854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: TX 000363) |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: TX 000363) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-12-31 |