| NPI | 1295150720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DELAINE FARIS Managing Partner 972-814-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 7514) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11080) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |