| NPI | 1265706279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CARROLL PIERCE Member 903-784-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9983) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |