| NPI | 1710639711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS FLORES Business Manager 806-922-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |