NPI | 1912779232 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ROLLER Owner 512-968-7402 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-10-30 |
Last Update Date | 2024-06-19 |