| NPI | 1740024157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE LEONARD Owner/CEO 832-224-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-12-18 |