| NPI | 1891187910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL MICHAEL POOLE CEO 832-581-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3830-3831) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: TX 3830-3831) |
| 305R00000X Preferred Provider Organization (Licence: TX 3830-3831) | |
| 305S00000X Point of Service (Licence: TX 3830-3831) | |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |