| NPI | 1912370248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADIJAT QUADRI President 210-314-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 67102) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |