| NPI | 1427468016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ESQUEDA RIVERA Provider/Owner 915-202-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68797) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12025) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2020-10-21 |