| NPI | 1730713769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY YOUNG Executive Director 254-778-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2022-10-18 |