| NPI | 1922383165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA DAVIS Owner 832-890-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3445) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |