| NPI | 1700383080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MATTHEW GARDZINA CEO 979-480-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3351-3352) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2025-07-03 |