| NPI | 1639805690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN CASHEN-LUSK Executive Director / CEO 817-905-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-01-05 |