| NPI | 1043729072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA F RYAN Owner 214-490-5162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69073) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12314) |
| 101YM0800X Counselor, Mental Health (Licence: TX 69073) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2018-06-16 |