| NPI | 1952779985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ZORNE Manager 512-358-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3767-3768) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |