| NPI | 1548629041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEMUEL A ODOM Owner/ Provider 832-561-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |