| NPI | 1730742198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL G MARTINEZ Owner 210-549-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-04-20 |