| NPI | 1720943822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LIPTON Program Administator 832-215-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2025-12-20 |