NPI | 1053046763 |
---|---|
Entity Type | Organization |
Authorized Contact | PENNY MATTHEWS Licensed Professional Counselor 214-415-0178 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-18 |
Last Update Date | 2022-07-18 |