| NPI | 1255144473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LUGENE BOUCHER Owner/ Chief Operating Officer 254-987-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-08-28 |