| NPI | 1275424657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA MARTIN Operations Director 817-233-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2026-05-13 |