| 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 |