| NPI | 1063960714 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KAY FONTENOT Director Of Admissions 214-995-9566 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Enumeration Date | 2016-09-12 | 
| Last Update Date | 2016-09-12 |