| NPI | 1467639484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE EDWARDS Executive Director 979-248-5649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YP2500X Counselor Professional | |
| 133N00000X Nutritionist | |
| 171000000X Military Health Care Provider | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management (Licence: TX 3255 - 3256) | |
| 251S00000X Community/Behavioral Health (Licence: TX 3255 - 3256) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| 405300000X Prevention Professional | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2020-06-16 |