| NPI | 1336013689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE TERRELL MCDONALD Program Owner 832-597-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-10-01 |