| NPI | 1992259097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE LITTLE CEO 972-905-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 7923) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2020-10-23 |