| NPI | 1689365330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA RILEY Executive Director 409-658-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |