| NPI | 1144502501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA DELORES MOORE-DAVIS C.E.O. 832-890-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3445-3446) |
| Additional Taxonomies | 251S00000X (Licence: TX 3445-3446) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |