| NPI | 1740771195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN R JANEIRO President 817-720-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-10-11 |