| NPI | 1912780313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MUTABARUKA Director 469-247-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-21 |