| 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 |