| NPI | 1942991286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JO BURKS Owner/CEO 903-267-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-11-04 |