NPI | 1063289023 |
---|---|
Entity Type | Organization |
Authorized Contact | LATOYA OGIDAN Clinical D Irector 972-365-0346 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-12-08 |
Last Update Date | 2024-01-15 |