| NPI | 1356103105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE DONALDSON Owner 214-585-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |