| NPI | 1679638639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUDLEY T FARENTHOLD CEO 713-683-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: TX 2362A) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |