| NPI | 1568206191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCE WILLIAM LUNA Owner 972-806-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |