| NPI | 1750915963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | Y. DIANA JOHNSON Counselor 512-910-5188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |