| NPI | 1093477473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE KING Mr 713-894-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-26 |