| NPI | 1922533520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEED AMINE RYALS Executive Director 325-650-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |