| NPI | 1144836412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE LUCIO Administrator 956-215-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2025-09-03 |