| NPI | 1659384824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L MCCOLGIN CEO/President 409-933-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 1904-A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 1904-A) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 1904A) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 1904B) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-03-10 |