| NPI | 1770084956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PERSAUD Office Manager 254-760-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |