| NPI | 1699209916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NURYS B PUENTE Revenue Cycle Director 469-773-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-03-14 |