| NPI | 1124426374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE L RIDDLE Owner/Counselor 940-703-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2023-08-25 |