| NPI | 1851694186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL FONTENOT CFO 903-597-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 3018-3019) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |