| NPI | 1548547177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY GONZALES Owner/Therapist 979-830-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 64543) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |