NPI | 1164037305 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCES MICHELE DEARMAN Owner 469-861-6101 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2020-09-14 |
Last Update Date | 2025-02-18 |