| NPI | 1063261691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SINCLAIR Director Of Operations 469-680-3630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |