| NPI | 1780428441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER COOLEY COO 512-839-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2025-05-07 |