| NPI | 1780031237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARNELL JOHNSON President 210-485-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-05-14 |