| NPI | 1881149425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JOHN NIEVES President 817-717-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13296) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 13296) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |