| NPI | 1063948032 |
|---|---|
| Doing Business As | OUTREACH THERAPY |
| Entity Type | Organization |
| Authorized Contact | NECOLE L RIVERS President/Provider/Psychologist 254-338-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-05-27 |