| NPI | 1629433917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS A. TRYKA Ar Director 956-546-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2020-06-23 |