| NPI | 1265809503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA G GAY CEO 903-363-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12715) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |