NPI | 1013715077 |
---|---|
Entity Type | Organization |
Authorized Contact | TALAYA GREEN Mgr Member 469-584-0824 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2025-03-05 |
Last Update Date | 2025-04-02 |