| NPI | 1457717142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA BAKER Owner 713-492-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6966) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |