| NPI | 1952174419 |
|---|---|
| Doing Business As | CITY OF LAREDO DETOX CENTER |
| Doing Business As | ROOTS RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SAN JUANA VIVIANA MARTINEZ Detoxification Director 956-679-2826 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-06-12 |