| NPI | 1679848253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN GARCIA Owner / Physician 432-682-0652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX F5914) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2013-05-22 |