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 |