| NPI | 1639517527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO GILLAM Chief Executive Officer 281-782-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 100086AN) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-17 |