| NPI | 1871056218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE ROWLAND Managing Partner 210-600-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |