| NPI | 1942485909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANNE COOK Lpc 806-322-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 13863) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8030) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |