| NPI | 1679012215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HAHN Managing Member 210-529-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 70240) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 72477) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-09-13 |