| NPI | 1831067974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO LEE ALLEN Executive Director 983-216-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-12-16 |