| NPI | 1881970382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE PORTER DOTSON Clinician/Administrator 281-467-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 14081) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: TX 14081) | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |