| NPI | 1053807032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LORENZ Senior Provider 214-296-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79294) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 79294) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 79294) | |
| 101YP2500X Counselor, Professional (Licence: TX 79294) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-12-21 |