| NPI | 1992955827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGASL A UMORU CEO 469-360-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 7916) |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2008-09-28 |