| NPI | 1093201493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY URBANEK Owner 737-400-9261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65909) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2020-04-14 |