| NPI | 1891261152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L HOUSEWORTH Contract Employee 832-248-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |