| NPI | 1912049156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEA LILLY Executive Director 806-780-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 846) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |