| NPI | 1780053579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY HOLDER Director 361-576-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3763-3764) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-12-06 |