| NPI | 1578838181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY LOCKNANE Owner 432-614-5720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11270) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2017-10-30 |