| NPI | 1306903323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI VANN Executive Assistant 409-983-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6823) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |