| NPI | 1720268949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID WEBB Outpatient Program Director 817-424-9013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9838) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |