| NPI | 1730530155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W PARK CEO 832-785-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 4070-4071) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2017-02-13 |