| NPI | 1073371779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE ALBERTSON COO 469-777-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2025-06-04 |