| NPI | 1942916903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY BRIZENDINE Chief Of Staff 512-415-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-07-11 |