| NPI | 1336740554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY PAYNE ABERNATHY Manager 972-822-5853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |