| NPI | 1700599198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RODRIGUEZ Founder 806-651-9371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |