| NPI | 1144819996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORA EVANS Owner/CEO/ Exe Dir 469-766-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |