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 |