| NPI | 1639491970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WISDOM-WILD Chief Executive Officer 210-735-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 438 A, B & C) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-10-20 |