| NPI | 1902340268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MINCHER Senior VP Revenue Cycle 682-236-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2023-08-17 |