| NPI | 1922519727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MICHELLE TATE CEO 409-853-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2025-07-17 |