| NPI | 1679378137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCE WILLIAM LUNA Owner 214-675-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 174200000X Meals |
| 175T00000X Peer Specialist | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 273Y00000X Rehabilitation Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-20 |