| NPI | 1801317920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO DIAZ Owner 956-723-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 39843985) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-07-06 |