| NPI | 1609234756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WEBB Manager/Individual Clinician 817-237-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10643) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |