| NPI | 1629618483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PAIGE MORRISON Director Of Clinical Compliance 512-731-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-05-19 |