| NPI | 1881458685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY BROOKE HARRIS Director Of Operations 325-668-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |