| NPI | 1063059871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRIGANDI CEO 469-646-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2019-11-30 |