NPI | 1013372689 |
---|---|
Entity Type | Organization |
Authorized Contact | KEINOSHA KEATON Owner 214-601-6208 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
103K00000X Behavior Analyst | |
103T00000X Psychologist | |
103TC1900X Psychologist, Counseling | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2015-12-23 |
Last Update Date | 2016-01-07 |