| NPI | 1841768702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN DUNCAN Owner 210-614-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-09 |