| NPI | 1831457688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA V FELICIER Executive Director 939-717-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: PR PC 02) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |