NPI | 1629021282 |
---|---|
Former Legal Business Name | MERIT CHEMICAL DEPENDENCY PROGRAM, INC |
Entity Type | Organization |
Authorized Contact | CAROL JONES BLACKMON Executive Director 817-413-9463 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 1631756-03) |
Additional Taxonomies | 251B00000X Case Management (Licence: TX 1631756-02) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2013-12-23 |