| NPI | 1629398367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN ROBERSON Executive Director 936-521-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3208-3209) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2024-04-10 |