| NPI | 1649325077 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOSE A AVILA President 956-381-1189  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 1816-1816AF)  | 
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 1816A)  | 
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 1816A)  | |
| Enumeration Date | 2007-01-24 | 
| Last Update Date | 2022-07-21 |