| 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 |