| NPI | 1689226342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE TRYLING Owner/Operator 940-202-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |