NPI | 1033639133 |
---|---|
Doing Business As | THE MENDING PATH |
Entity Type | Organization |
Authorized Contact | CHRISTINA TEW Psychologist 469-573-0948 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 37560) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2017-06-21 |
Last Update Date | 2023-07-10 |