| NPI | 1821598558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH LIVERS Exacutive Director 325-704-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |