| NPI | 1083901383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOBO CORDOVA President 281-501-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |