| NPI | 1912671033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA G WALLACE Owner 281-507-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |