| NPI | 1528166881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E MEYER Dr 432-563-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |