| NPI | 1053147058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA GUADALUPE DOMINGUEZ Managing Member 469-364-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |