| NPI | 1093351462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BUSH Owner / Mental Health Therapist 903-530-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |