| NPI | 1073289674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBIN CASEY Owner 806-252-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |