| NPI | 1821309667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY COFIELD Managing Member 281-309-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10828) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: TX 104240) |
| 174H00000X Health Educator (Licence: TX 104615) | |
| 101Y00000X Counselor (Licence: TX 10828) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 2524-1236) | |
| 171M00000X Case Manager/Care Coordinator (Licence: OH 06-08-10-PVN,C,S,P(6) | |
| 174H00000X Health Educator (Licence: TX 2524-1236) | |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2012-12-13 |