| NPI | 1114419660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUNDREA DUDIK Licensed Professional Counselor 254-892-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 75580) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-11-07 |