| NPI | 1134762412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN L HASTINGS Owner 817-380-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2020-09-04 |