| NPI | 1093260002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KAY BAKER President 972-835-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 4085-4086) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2022-04-13 |