| NPI | 1043998180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIRAH SALDIVAR SMITH Owner/Provider 254-238-9057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-12-20 |