| 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 Mental Retardation & 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 |