| NPI | 1104579143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ROY Owner 972-998-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-12-08 |