| NPI | 1306307186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLITA R GILMORE Director 254-781-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |