| NPI | 1659709475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NIEDERMAYER Chief Executive Officer 817-332-6329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3399-3400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2015-07-08 |