| NPI | 1104784479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE THOMASON CEO 737-444-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-02-27 |