| NPI | 1184922486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L HOLM Managing Director 956-664-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2014-10-24 |