| 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 | 2017-10-17 |