| NPI | 1720442502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE SCHMIDTZINSKY Clinical Coordinator 210-558-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 69161) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |