| NPI | 1255655783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARK VESTAL Executive Director 713-637-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: TX 3300-3301) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3300-3301) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2012-05-30 |