| NPI | 1902269475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY KIN-SUN LUI Managing Member 731-431-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |