| NPI | 1023884301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONICA BADAL Executive Director 682-593-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |