| NPI | 1932572302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK SMITH Owner 469-337-8691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-11-08 |
| Last Update Date | 2015-11-08 |