| NPI | 1033733266 |
|---|---|
| Doing Business As | 22KILL |
| Entity Type | Organization |
| Authorized Contact | ANDREW CARLTON Consultant 817-996-5867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |