| NPI | 1609141860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE COOK YOUNG Administrator 281-536-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 00112953) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 61830) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-04-26 |