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 |