| NPI | 1801484340 |
|---|---|
| Doing Business As | PROMISES BRAZOS VALLEY |
| Entity Type | Organization |
| Authorized Contact | ROBERT S WAGGENER CEO 615-821-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-11 |