| NPI | 1598295073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOCKE Accountant 832-630-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251E00000X Home Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |