| NPI | 1700606878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NICOLE SMITH CEO 817-330-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-01-28 |