| NPI | 1871334516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH SMALL Owner/President/CEO 972-265-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |