| NPI | 1982908299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENARO SANDOVAL CEO 512-659-3518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10685) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |