| NPI | 1750571550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRICE GAINES C.O. 281-687-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: TX FB185) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |