| NPI | 1811374382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN GRAY BASS CEO 915-594-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2024-11-27 |