| NPI | 1548860406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN NODURFT Clinical Director 469-271-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-06-13 |