NPI | 1659738243 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEA ENOS Owner 940-597-5382 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-01-27 |
Last Update Date | 2016-01-27 |