| NPI | 1710763917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ANSCHUTZ President/Founder/CEO 512-306-1394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |