| NPI | 1811217789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY EDWARD CULBERSON Executive Director 940-484-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TX 3160-3161) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 3160-3161) |
| 101YP2500X Counselor Professional (Licence: TX 3160-3161) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: TX 3160-3161) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: TX 3160-3161) | |
| 103TC0700X Psychologist Clinical (Licence: TX 3160-3161) | |
| 103TC1900X Psychologist Counseling (Licence: TX 3160-3161) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: TX 3160-3161) | |
| 103TR0400X Psychologist Rehabilitation (Licence: TX 3160-3161) | |
| 171100000X Acupuncturist (Licence: TX 3160-3161) | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 3160-3161) | |
| 251E00000X Home Health (Licence: TX 3160-3161) | |
| 251S00000X Community/Behavioral Health (Licence: TX 3160-3161) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |