| NPI | 1619453610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA BRUNO Financial Services 713-591-4311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-8942-0002-A) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-8942-0002-A) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |