| NPI | 1982751087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY MILLER Program Director 713-726-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: TX 494-A) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |