| NPI | 1417322157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONT CORNELIUS MARTIN Director 214-274-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12476) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |