| NPI | 1245533546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN EZEOHA President 214-221-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6998) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11293-1209) |
| 101YM0800X Counselor, Mental Health (Licence: TX 19813) | |
| 101YP2500X Counselor, Professional (Licence: TX 13423) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |