NPI | 1255144861 |
---|---|
Doing Business As | RESTORED PATH DETOX |
Entity Type | Organization |
Authorized Contact | HILARY HOLLINGSWORTH SOJOURNER Executive Director 817-721-2372 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
Enumeration Date | 2025-01-28 |
Last Update Date | 2025-01-28 |