| NPI | 1700097078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN JARVIS-MOORE Counselor 281-200-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 324500000X) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |