| NPI | 1033658786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN CROW Managing Partner 972-210-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10991) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |