| NPI | 1679894422 |
|---|---|
| Other Name | MEN'S RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | IVONNE TAPIA CEO 915-782-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 402B) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2015-12-04 |