| NPI | 1407343536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MILLER Vice President 210-602-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13499) |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-04-14 |