NPI | 1558818534 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN DALE DAVIS Founder And CEO 817-714-1311 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2016-09-07 |
Last Update Date | 2024-07-18 |