NPI | 1245445618 |
---|---|
Former Legal Business Name | MERIT CHEMICAL DEPENDENCY PROGRAM, INC |
Entity Type | Organization |
Authorized Contact | CAROL JONES BLACKMON Executive Director 817-413-9463 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18630) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2007-08-13 |