| NPI | 1083497291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA WOODALL Therapist/Clinical Social Worker 940-594-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |