| NPI | 1538287255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY DUNKS Director Billing Department 936-633-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TX 406) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |