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 |