| NPI | 1295971588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS LEVINSKY WADE Director Of Outreach 903-871-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |