| NPI | 1598944902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT MOSES CEO 409-962-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3015) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: TX 3015) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |