| NPI | 1861035818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GARCIA Executive Director 832-901-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-09-26 |