| NPI | 1679613129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE FRANCES SHEPHERD Staff Counselor 409-983-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6823) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |