| NPI | 1811858996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LAKE Director 713-530-4728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |