| NPI | 1720341753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE HARDWICK BRYAN Owner/Clinical Counselor 915-525-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62311) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 7697) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2014-10-16 |