NPI | 1932480373 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT WOLFSKILL Owner 817-680-9218 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18736) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8187) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2011-08-30 |