NPI | 1700540515 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER HUDIBURGH Director Of Operations 940-999-8529 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2021-10-27 |
Last Update Date | 2022-12-13 |