| NPI | 1508106048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA L. SHIPP Sole Member 469-730-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65614) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11144) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-04-26 |