| NPI | 1609199348 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOSEPH GARDZINA Director 979-480-3327 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 7657) | 
| Enumeration Date | 2010-03-09 | 
| Last Update Date | 2025-06-19 |