| NPI | 1467963801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE C HUNNICUTT Owner 830-890-5823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 66010) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 11047) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |