| NPI | 1043522972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL BERRY Program Director 713-754-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 341A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 341M) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 341J) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 341K) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-11-02 |