| NPI | 1093281933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY W WEST Owner 281-935-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-04-02 |