| NPI | 1467278325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA MIRELLA ENRIQUEZ Member Manager 432-245-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-02-04 |