| NPI | 1952289290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY MICHELLE BRADLEY Owner 832-250-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |