| NPI | 1548078405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY REECE Vice President, Operations 682-477-3705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2024-12-24 |