| NPI | 1982120275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK GREEN Director Of Treatment Services 210-627-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |