| NPI | 1578218418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA L YOUNG Counselor 832-491-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |