| NPI | 1659072478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PAUL STAROBIN Director Of Operations 512-592-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |