| NPI | 1508352683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON EDWARDS Chief Executive Officer 214-417-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |