| NPI | 1184123754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIS MARION HINTZ Owner 361-886-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69352) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11506) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2023-06-27 |