| NPI | 1396874103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEFANIA VENEGAS Office Administrator 915-778-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 13071) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 2088-A) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2014-08-06 |